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Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.

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Showing 1 to 9 of 9 results
Transmittal Number: KS-24-0029
State: Kansas
Summary: This amendment discontinues health homes from the alternative benefit plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-24-0030
State: Kansas
Summary: This amendment discontinues health homes from the Supports and Training for Employing People Successfully (STEPS) program alternative benefit plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-24-0016
State: Kansas
Summary: This amendment proposes adds adult dental benefits to the STEPS Alternative Benefit Plan (ABP) due to the expanded dental services in the Kansas Medicaid Plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-24-0015
State: Kansas
Summary: This amendment adds adult dental benefits to the Working Healthy Alternative Benefit Plan (ABP) population due to the expanded dental services in the Kansas Medicaid Plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-24-0003
State: Vermont
Summary: This SPA is to update the 2024 Base Benchmark.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
  • Inpatient
  • Other Licensed Practitioners
  • Home Health
  • Prior Authorization
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: VT-23-0019
State: Vermont
Summary: This amendment proposed to amend prior authorization requirements for chiropractic services, physical therapy, occupational therapy, speech therapy and hearing aids.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-22-0016
State: Kansas
Summary: This amendment establishes 12 months of continuous post-partum eligibility for pregnant women in Kansas.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-22-0014
State: Kansas
Summary: This amendment establishes coverage of Certified Community Behavioral Health Centers (CCBHCs) and reimbursement of CCBHC services in Kansas Alternative Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-22-0010
State: Kansas
Summary: This amendment establishes compliance with mandatory Medicaid coverage and reimbursement of routine patient costs furnished in connection with participation in qualifying clinical trials in the Alternative Benefit Plan.
Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT